ARRL Santa Barbara Section Council of Clubs

To apply for membership or renew your club as a member of the council and submit your $5.00 annual dues,

please print this page, fill in the blanks, or send the information with your check payable to “SBSCC”

to:

Santa Barbara Section Council of Clubs

PO BOX 5574

Ventura CA 93005-0574

Dues for the Year(s) __________________.

Club Name: _______________________________________________________________

Club Mailing Address: _______________________________________________________

Club E-mail Address: ________________________________________________________

Club Web Page:_______________________________________________________________

ARRL Affiliated Club: Yes: _____ No: ____

ARRL Special Service Club: Yes: ____ No: ____

Club President: Name and Call:__________________________________________________

Address and Phone Number:____________________________________________________

____________________________ E-mail address:__________________________________

Club Representatives:

1: Name and Call: _____________________________________________________________

Email Address:______________________________

2: Name and Call:______________________________________________________________

Email Address:______________________________